Kentucky House Bill 138 (Prior Session Legislation)

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Spectrum: Partisan Bill (Democrat 2-0)
Status: Introduced on January 9 2019 - 25% progression, died in committee
Action: 2019-01-10 - to Banking & Insurance (H)
Pending: House Banking and Insurance Committee
Text: Latest bill text (Introduced) [PDF]

Amend KRS 304.17A-005 to define "balance billing," "cost sharing," "covered person," "usual and customary rate," and other terms; create new sections of Subtitle 17A of KRS Chapter 304 to require the insurance commissioner or a designated nonprofit organization to establish and maintain a database of billed health care services charges collected from insurers; define "unanticipated out-of-network care"; require an insurer to reimburse for unanticipated out-of-network care at the lower of the billed amount or the usual and customary rate less any cost sharing owed by the covered person; prohibit balance billing from a provider who has been reimbursed as required; allow a provider to bill for any applicable cost-sharing requirements owed by the insured; amend KRS 304.17A-096, 304.17A-430, 304.17A-500, 304.17B-001, 304.17B-015, 304.17B-033, 304.17C-010, 304.18-114, 304.38A-010, and 304.39-241 to conform; repeal KRS 304.17A-640; EFFECTIVE January 1, 2020.

AN ACT relating to surprise billing.

Rep. John Sims [D]

Rep. Cherlynn Stevenson [D]

Date	Chamber	Action
2019-01-10	House	to Banking & Insurance (H)
2019-01-09	House	introduced in House

Type	Source
Summary	https://apps.legislature.ky.gov/record/19RS/hb138.html
Text	https://apps.legislature.ky.gov/recorddocuments/bill/19RS/hb138/orig_bill.pdf